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Ensuring the future of optometry's graduate programs.

Financial burdens, time and family commitments, peer status, insecure feelings concerning academia, and continuing "student" stigma are some of the pressures that discourage optometrists from entering graduate programs in visual science or other fields. In order to ensure the continued future training of optometrists with additional graduate degrees, we must begin to develop better financial packages, proactive recruitment strategies, increased networking opportunities, more secure career opportunities, streamlined graduate programs, and the affirming of the rewards of graduate study by those who have had successful careers.

Education, Graduate

The recruitment and retention of disadvantaged and underrepresented groups in optometry.

The recruitment and retention of disadvantaged students represents a formidable challenge to optometric educators. Referrals by optometrists and counsellors, visits to minority campuses, and information through the news media can help the recruitment process. Academic achievement and retention rates can be enhanced by tutorial programs, development of learning centers, learning modules, self-paced materials, and computer software. The most important element is the sensitivity of faculty and administrators to the educational needs of the students and the health care needs of disenfranchised populations.

Humans

The effect of head trauma on the visual system: the doctor of optometry as a member of the rehabilitation team.

Brain injury results from either head trauma or strokes and causes many visual and visually related disturbances. Rehabilitation is aimed at developing skills that allow the patient to optimally function as a viable and independent member of society. Often the resultant visual deficits remain undiagnosed and untreated, which hinder the patient's total rehabilitation. Optometric evaluation of brain injured patients should routinely be performed as part of the transdisciplinary team approach to rehabilitation. Optometrists are uniquely qualified to diagnose and treat visual and functional deficits of the visual system in the brain injured population. The purpose of this paper is to present a rationale for optometric participation in the rehabilitation of head trauma and stroke patients.

Brain Injuries

Optometry in nursing homes.

Studies predict a 50 percent increase in residential long-term care need by the year 2000. Statistics show that the age group served by these facilities is at a much higher risk for sight threatening eye conditions. A review of the current literature as well as original data collected in Ohio indicates that residents in long-term care facilities are underserved with regard to eye care. This paper discusses the need for increased optometric participation in the primary eye care services for residents of long-term care facilities.

Aged

The use of drugs for behavior modification as it relates to the practice of optometry--Part II.

Drugs used in behavior modification are considered with respect to type, specific agents, conditions for which they are used, and associated ocular and visual side effects. Relevant types include narcotic analgesics, sedatives and hypnotics, antipsychotics, antianxiety drugs, antidepressants, psychomotor stimulating agents, caffeine, the antihistamines, estrogen and progestins, vitamins, disulfiram, and illicit drugs and chemicals.

Analgesics, Opioid

The Optical Services Audit Committee (OSAC) and UK optometry.

In 1989, following a series of legislative moves by the UK Government to remove the 'monopoly' within optical services, a proposal was made to introduce a two-tier system of eye care. Within the two tiers would be a cheap, rapid spectacle prescription assessment that took no account of binocularity or ocular health. The initial response to this within professional groups involved was split, dispensing opticians keen to see the arrival of the system, the optometric profession concerned over the possible health consequences. In order to provide an overview of the situation the General Optical Council proposed the establishment of the Optical Services Audit Committee to investigate the whole of UK eye care services and recommend direction for future developments. The main conclusions of the report produced by this committee are discussed here.

Consumer Advocacy

Predicted and observed effects of the Medicare Optometry Parity Amendment.

The Medicare Parity Amendment of 1987 redefined the conditions of optometric participation and expanded coverage to include all Medicare-covered services which optometrists are authorized to perform under state law. Prior to the law, a number of studies projected costs to Medicare as a result of a change in Medicare policy. This paper reviews these studies in relation to actual Medicare expenditures from 1986 to 1988. The paper describes the impact of the Medicare amendment on payments to optometrists and shows how payments increased from $12 million in 1986 to $81 million in 1988. Optometrists substantially increased their market share of Medicare payments from 2.6 percent in 1986 to 11.1 percent in 1988. Indications suggest that a shift of patient visits from ophthalmologists to optometrists has occurred.

Centers for Medicare and Medicaid Services, U.S.